Organization Active NPI

Bellamah Vein & Surgery, PLLC

  • Surgery Physician
  • Missoula, MT
National Provider Identifier
1427469725
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BELLAMAH VEIN & SURGERY, PLLC
Practice address
2975 Stockyard Rd
Suite 200 & 201
Missoula, MT 59808-1557
Phone
(513) 509-1706
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Howard Bellamah, M.DNPI 1760426647
Title
Owner
Phone
(513) 509-1706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

2975 Stockyard Rd
Suite 200 & 201
Missoula, MT 59808-1557

Mailing address

2975 Stockyard Rd
Suite 200
Missoula, MT 59808-1557
Phone (513) 509-1706

Other identifiers 1

IdentifierTypeStateIssuer
9851OtherMTMT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140923001846 MT Part B Supplier - Clinic/Group Practice 9032338033 Receives reassigned benefits from 2 practitioners
Practice locations: Kalispell, MT; Missoula, MT

National Provider Directory

National Provider Directory

Locations

575 Sunset Blvd
Kalispell, MT 59901

575 Sunset Blvd
Ste 104
Kalispell, MT 59901
Phone (406) 541-3200

2975 Stockyard Rd
#200
Missoula, MT 59808
Phone (406) 203-1866

2975 Stockyard Rd
Ste 200201
Missoula, MT 59808

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1427469725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 STOCKYARD RD",
            "address_2": "SUITE 200",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081557",
            "telephone_number": "513-509-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 STOCKYARD RD",
            "address_2": "SUITE 200 & 201",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081557",
            "telephone_number": "513-509-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAMAH VEIN & SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "BELLAMAH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-509-1706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT LICENSE",
            "identifier": "9851",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.